Evidence map›Paper›PMID 25664229›Full record

ArticleSpringerPlus2015

Association of ANCA associated vasculitis and rheumatoid arthritis: a lesser recognized overlap syndrome.

Juliana Draibe, Alan D Salama

Abstract read
In one paragraph

Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
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  7. Observational
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  13. [Arthritis and pulmonary cavities].Zeitschrift fur Rheumatologie · 2022
    Article
  14. Observational
  15. Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Juliana DraibeNephrology Department, Bellvitge University Hospital, Feixa llarga s/n 08097, Barcelona, Spain.
Alan D SalamaUCL Centre for Nephrology, Royal Free Hospital, London, NW3 2PF UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundANCA associated vasculitis (AAV) is an autoimmune disease with significant morbidity and mortality, in which diagnostic delay is associated with worse outcomes. AAV is rarely found in association with other immune mediated diseases. Early recognition of such overlaps enables more timely diagnosis and may impact on disease outcome. We reviewed cases of AAV in which there was an overlap with rheumatoid arthritis (RA).

methodsWe performed a retrospective analysis of our vasculitis database for patients who had a diagnosis of AAV and RA, and a literature search to find other reported cases of this overlap syndrome.

resultsWe found six subjects who had a diagnosis of RA and developed AAV at a median of 10.5 years (range 4-43 years) after the diagnosis of RA. They had been treated with a mean of 2 disease modifying drugs (0-4) and all had evidence of renal involvement with median creatinine of 227 μmol/l (range 128-700 μmol/l). Only one had a diagnosis of granulomatosis with polyangiitis, while the rest had a clinical diagnosis of microscopic polyangiitis. Half of the patients had positive rheumatoid factor (RhF) at the time of vasculitis diagnosis, three had MPO-ANCA, one PR3-ANCA, and two had ANCA-negative pauci-immune vasculitis. Additionally, we found 29 other cases reported of this overlap, which also most frequently presented with vasculitic renal manifestations, and were frequently RhF positive at the time of AAV diagnosis.

conclusionsAAV occurs in subjects with RA rarely, and often with significant delay from the first rheumatological manifestations. Renal involvement is common.

Indexed as

ANCA associated vasculitisOverlap syndromesRheumatoid arthritis

Identifiers

PMID25664229
PMCPMC4315802

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